Clin Med - Exam 2 Flashcards
1
Q
- Person presents with hallucinations and flat affect. What else do you want in your evaluation?
A
Disorganized thought, abnormal behavior, & delusions
2
Q
- What stage of MSE do you use to evaluate the LOC?
A
Appearance & behavior
3
Q
- Son from college presents with father because he thinks that the FBI is out to get him what area of his brain is being affected?
A
Excess Dopamine in the mesolimbic area
4
Q
- OCD wife with obsessive hand washing is driving her husband insane. What do you want to start for treatment?
A
Exposure Tx & SSRI
5
Q
- MC co-morbidity with anorexia?
A
Anxiety
6
Q
- Which will make you immediately admit your anorexic patient?
A
Cardiac arrhythmia
7
Q
- Lady presents with constant generalized worry, no ETOH or substance abuse, irritation, aggravation, and no specific triggers. She drinks 2-3 cups of coffee a day. What would you like to use for treatment?
A
SSRI
8
Q
- Which of the following is not a risk factor for PTSD?
A
In utero viral infection
9
Q
- What do you do to screen for alcohol dependence?
A
CAGE questions
10
Q
- Which one of the following best describes compulsion?
A
Repetitive ritual to suppress anxiety
11
Q
- Chick who is feeling sad for a long time with no suicide. What do you want to start her on?
A
SSRI (fluoxetine)
12
Q
- Older lady forced to retire, lost weight, won’t go outside, who is hypersomnic and doesn’t want to do anything to leave the house what do you give her?
A
Wellbutrin because it is a melancholic depression (need DA agonist)
13
Q
- Daughter brings in her Mother who was previously diagnosed with schizophrenia is dressed oddly, has very odd and bizarre beliefs and doesn’t make eye contact?
A
Schizotypal
14
Q
- Dude who has a general mistrust of others but has no issues functioning in a social environment?
A
Paranoid Schizophrenia
15
Q
- Difference between factitious and Somatic syndrome disorder?
A
Conscious deceit
16
Q
- Qualifying factors for Somatic disorder?
A
Patients tend to seek medical help and get re-evaluated frequently/presentations of the disease are inconsistent w/ an actual medical disorder
17
Q
- DM pt who has dysphoria, depressed mood, lack of excitation what did you do to evaluate?
A
PH-Q 9 to screen for depression
18
Q
- Dysphoria?
A
mood
19
Q
- What is the most effective way to treat CD and ODD?
A
Parent training